Nurses Helping Nurses
allnurses Network: Central | Jobs | Books | Newsletter
allnurses: A Nursing Community for Nurses
Home General News Blogs Articles Students Region Specialty Degrees F.A.Q.
Certified Registered Nurse Anesthetist (CRNA) /

Question about MD/CRNA and my son's surgery



Did You Know?
allnurses is the largest community for nurses on the web. We now have over 388,133 members! Join today to network with other nurses, laugh, share, and much more.

Apr 07, 2009 08:39 AM

Question about MD/CRNA and my son's surgery


Hey all,

So my son had surgery last month and before the procedure, the CRNA comes out and explains how they are going to use the gas, gets consent, etc. She was great- we really liked her. Then the MDA comes out and corrects the CRNA saying they'll use gas AND a nerve block (I still question the necessity of that). She was kind of rude and abrupt- didn't make me feel all that comfortable.

My son went back to surgery comes out- he did great but didn't really handle the nerve block well (crying about his legs and how they hurt). The MDA had to come back to give him something. I ask and she says "Oh, I'm giving him morphine" and then walks off and tells the PACU nurse "I just gave him Toradol". Huh?

Anyway, LONG STORY SHORT- we probably would have been much happier with just the CRNA on our son's case (not trying to start a "who's better" debate). We just felt like we trusted the CRNA more. So here's the question- when doing surgery in a big teaching hospital where there are CRNAs AND MDs, how exactly does the relationship work? What is the role of the CRNA and do they act independently from the MDs.

Thanks for reading and your insight is greatly appreciated


Share

Search Tags
None
Top

 
Advertisement
Sponsored Links
 
Reply
4 Comments
No. 1
Old Apr 07, 2009, 06:39 PM

Default Re: Question about MD/CRNA and my son's surgery
In large faculties the MD says do it and frequently that is the way it is, a great reason for me not to work there.
Top
 
No. 2
from joeyzstj
Old Apr 12, 2009, 09:59 PM

Default Re: Question about MD/CRNA and my son's surgery
Give me the CRNA any day. I work with many CRNAs and MDAs closely every day. I will take a CRNA over and MDA any day of the week. I always laugh when patients come in the the hosptial insisting on requesting their Anesthesiologist. Im having a simple hernia procedure done sometime. I dont care so much abou the surgeon........we have great surgeons, but I want to pick my CRNA.
Top
 
No. 3
from alterego33
Old May 02, 2009, 09:57 PM

Default Re: Question about MD/CRNA and my son's surgery
When someone asks me the difference between a nurse anesthetist and an MD anesthesiologist, my answer is that we (CRNAs) bring our nursing experience into the anesthesia care. We listen to the patients, reassure them, watch them closely, are methodical with our techniques and are caring. When you consider that the anesthesia part of our education is practically the same, and our continuing education required, and our outcome data show extremely safe practice, CRNAs are the way to go.
Top
 
No. 4
from jwk
Old May 07, 2009, 09:16 AM

Default Re: Question about MD/CRNA and my son's surgery
Originally Posted by labcat01 View Post
Hey all,

So my son had surgery last month and before the procedure, the CRNA comes out and explains how they are going to use the gas, gets consent, etc. She was great- we really liked her. Then the MDA comes out and corrects the CRNA saying they'll use gas AND a nerve block (I still question the necessity of that). She was kind of rude and abrupt- didn't make me feel all that comfortable.

My son went back to surgery comes out- he did great but didn't really handle the nerve block well (crying about his legs and how they hurt). The MDA had to come back to give him something. I ask and she says "Oh, I'm giving him morphine" and then walks off and tells the PACU nurse "I just gave him Toradol". Huh?

Anyway, LONG STORY SHORT- we probably would have been much happier with just the CRNA on our son's case (not trying to start a "who's better" debate). We just felt like we trusted the CRNA more. So here's the question- when doing surgery in a big teaching hospital where there are CRNAs AND MDs, how exactly does the relationship work? What is the role of the CRNA and do they act independently from the MDs.

Thanks for reading and your insight is greatly appreciated
You didn't specify what type of surgery your son had, his age, if he had the block done while he was asleep or awake, whether ultrasound guidance was used or not, etc., so it's hard to know exactly what went on here.

However, adding nerve blocks on top of general anesthesia is becoming increasingly common and perfectly acceptable. The effects of general anesthesia wear off quickly, whereas a good block can give as much as 24 hrs of very good pain relief. Many centers are also using indwelling catheters for continuous nerve blocks. The quality of the block is of course dependent on the practitioner. For many, ultrasound guidance for nerve blocks is still a pretty new concept, whereas some newer practitioners may have done all their training using ultrasound guidance to do their blocks.
Top
 
Reply




Thread Tools


Who's Online
179 members
1,871 guests
2,050

6

California Imposes Stricter Rules Regarding Drug Abuse In...

18

Are older nurses being forced out of the profession?

2

An outlook in California?

8

Australian surgeons successfully separate conjoined twins

41

Disruptive behavior by doctors, nurses persists a year...

31

Woman sues after police tackle her in ER during premature...

5

Beyond The Last Lecture -For Randy & Jai Pausch nurses...

18

WHO: Give at-risk groups anti-flu drugs early

21

Nursing, medical schools should work together, experts say

6

Army nurse honored after 100th birthday



1

Society Needs Care Too

11

Why am I doing this, anyway?

2

Nurse Heal Thyself

9

My Papa, why I am the nurse I am today.

17

I made it through

11

An angel's gaze

14

A Sister Never Forgets

16

Ruby's Marbles

37

What Do Operating Room Nurses Do?

14

My Little Old Jedi

20

I love this job......

23

"I hear voices"

19

Preventing FRUTI (Foley Related Urinary Tract Infection) in...

24

Error and Attitude

10

It's Just a Shower





Currently Reading This Page: 1 (0 members & 1 guests)

Interested in the hottest topics of the week? Subscribe to the Nurse-zine Newsletter.
Enter email address: